CAJ | 학술논문

目的：了解激光在口腔科应用的优势、劣势、机会、威胁，探讨激光能否替代高速手机在口腔领域的应用及其发展前景。方法基于当前激光发展的最前沿资料，以相关群体为调查对象，运用SWOT分析法制作调查问卷。针对口腔科医生、口腔疾病患者及口腔医学专业在校学生三个人群进行调查，将搜集到的数据进行统计、整理、分析、研究。结果经SWOT分析，医生与患者认为激光能减少感染机会、保证术中良好止血为主要优势因素，而激光的临床应用存在盲目性和探索性为主要劣势因素，获得牙科恐惧患者支持为主要机会因素，治疗效果无法保证是主要威胁因素。结论激光可以安全、精确切割牙体硬组织，减少震动、噪音，并降低患者恐惧心理，但激光在具有显著优势的同时还可能带来热损伤和微裂纹会对粘接修复带来影响，且临床应用上尚存在盲目性和探索性，应用效果尚待进一步研究。与此同时，口腔医生应开拓思维，主动学习相关知识，了解激光发展动态。医生及患者应积极配合并尝试激光的临床应用与调查研究工作，推动激光技术的发展。并争取政府及相关单位的政策支持，让医患双方获益，使激光有望在口腔科得到广泛应用。
목적：료해격광재구강과응용적우세、열세、궤회、위협，탐토격광능부체대고속수궤재구강영역적응용급기발전전경。방법기우당전격광발전적최전연자료，이상관군체위조사대상，운용SWOT분석법제작조사문권。침대구강과의생、구강질병환자급구강의학전업재교학생삼개인군진행조사，장수집도적수거진행통계、정리、분석、연구。결과경SWOT분석，의생여환자인위격광능감소감염궤회、보증술중량호지혈위주요우세인소，이격광적림상응용존재맹목성화탐색성위주요열세인소，획득아과공구환자지지위주요궤회인소，치료효과무법보증시주요위협인소。결론격광가이안전、정학절할아체경조직，감소진동、조음，병강저환자공구심리，단격광재구유현저우세적동시환가능대래열손상화미렬문회대점접수복대래영향，차림상응용상상존재맹목성화탐색성，응용효과상대진일보연구。여차동시，구강의생응개탁사유，주동학습상관지식，료해격광발전동태。의생급환자응적겁배합병상시격광적림상응용여조사연구공작，추동격광기술적발전。병쟁취정부급상관단위적정책지지，양의환쌍방획익，사격광유망재구강과득도엄범응용。
Objective To evaluate the strengths, weaknesses, opportunities and threats involved in the application of dentistry lasers in dental clinical practice, and discuss if the laser can replace high speed handpiece in the dental treatment. Methods Based on the latest information about development of dentistry laser, a questionnaire was carried out among dentists, dental students and dental patients, to collect essential information for the SWOT analysis. Results Through the SWOT analysis, the dentists and patients consider low infection rate and good hemostatic effect as the main strength factors of dentistry lasers, while the blindness during the operation was received as the main weaknesses factors. Great support of the patients with dental anxiety is the main opportunities factor, and the uncertainty of the treatment outcome is the main threat factor. Conclusions Lasers can be safe and accurate in cutting tooth hard tissue with relatively lower vibration, noise and can obviously decrease the patients' anxiety during dental treatment. However, the operative blindness as well as the uncertainty of treatment outcome remain to be the key problems needed to be further studied. Besides, dentists should positively follow the development of dentistry lasers, and both the patients and dentists should pay more attention to the clinical application, further investigation and research of dentistry lasers. Obtaining the governments' support should also be considered so as to finally successfully bring benefit to both the dentists and patients during clinical practice.